KAREN BOESCH- LEVERETT – Registered Dietitian, NPI 1508348772

KAREN BOESCH- LEVERETT is a healthcare provider. based in Forsyth, Georgia. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. 001105 (GA). The NPI Number for KAREN BOESCH- LEVERETT is 1508348772

Main info

Female
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
KAREN BOESCH- LEVERETT
NPI
1508348772
Phone
(678) 427-7570
Address
115 RIVER OVERLOOK
Enumeration Date
4 September 2018
Last Update Date
4 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787468626
Graduation Year
1987 (39 years ago)
PAC ID
6204180995
Group Practice PAC ID
2769558030
Professional Enrollment ID
I20181115001853
Address ID
GA312101359MA265XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

115 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in GA

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Provider Addresses for KAREN BOESCH- LEVERETT

  • 115, Overlook Drive, Park Terrace, Winston-Salem, Forsyth County, North Carolina, 27105, United States

    FORSYTH, GA 310294859

    Phone: (678) 427-7570

    Type: Mailing

  • 265, Sheraton Boulevard, Macon, Bibb County, Georgia, 31210, United States

    MACON, GA 312101359

    Phone: (678) 427-7570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181115001853IRegistered Dietitian Or Nutrition ProfessionalGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97802Therapy procedure for nutrition management, each 15 minutes32670$0
View full utilization report →

Insurance plans in this area (ZIP 31029)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769558030View full group profile
NameSpecialtyState
-GA
-GA
Physician AssistantGA
E N D O C R I N O L O G YGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Internal MedicineGA
Nurse PractitionerGA
E N D O C R I N O L O G YGA

Reviews

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Frequently asked questions

How is KAREN BOESCH- LEVERETT identified in CMS data?
CMS-hosted NPPES data lists KAREN BOESCH- LEVERETT with NPI 1508348772.
Is KAREN BOESCH- LEVERETT listed as active for patients and plans?
The listing shows KAREN BOESCH- LEVERETT as active in the NPI system.
What healthcare role does KAREN BOESCH- LEVERETT hold?
Scheduling teams often label KAREN BOESCH- LEVERETT under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What address line appears for KAREN BOESCH- LEVERETT?
KAREN BOESCH- LEVERETT's geographic hint is Forsyth, Georgia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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